Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $269.15	Professional		$123.03	$177.83	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $354.81	Facility		$177.83	$181.97	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Professional		$363.08	$363.08	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $602.56	Facility		$239.88	$323.59	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $1,584.89	Professional		$128.82	$199.53	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $346.74	Professional		$288.40	$346.74	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $575.44	Professional		$288.40	$288.40	$575.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $426.58	Professional		$269.15	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $338.84	Professional		$125.89	$158.49	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00